Samantha Nichola Primo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

349569 Issued in NY

Practice address

3717 Snyder Ave
Brooklyn, NY 11203-4064

Phone

(646) 707-9593

NPI assigned

Feb 2, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1346003209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 SNYDER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034064",
            "telephone_number": "646-707-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 SNYDER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034064",
            "telephone_number": "646-707-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMO",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "349569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Anthony Primeau, LCSW
• Primemed Pharmacy LLC
• Primetime Medical Supply Inc.
• Lisa Primich, PT
• Huldah Primo
• Prince Luxury Corp
• Prince Rehab Care PT PC
• Heather Nicole Prince-Skulavik, MA, CCC-SLP
• Hazel-Ann Prince-Wannah, MD
• Blaise McKeon Prince, LCSW

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.